| Center For Advanced Gastroenterology Llc | |
|
260 Lookout Pl Ste 201 Maitland FL 32751-4485 | |
| (407) 644-4014 | |
| (407) 644-5270 |
| Full Name | Center For Advanced Gastroenterology Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 260 Lookout Pl, Maitland, Florida |
| Authorized Official Name and Position | Nadia A Hilal (ADMINISTRATOR) |
| Authorized Official Contact | 4076444222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Advanced Gastroenterology Llc 260 Lookout Pl Ste 201 Maitland FL 32751-4485 Ph: (407) 644-4014 | Center For Advanced Gastroenterology Llc 260 Lookout Pl Ste 201 Maitland FL 32751-4485 Ph: (407) 644-4014 |
| NPI Number | 1811998891 |
|---|---|
| Provider Enumeration Date | 08/02/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811998891 | NPI | - | NPPES |
| 271940100 | Medicaid | FL | |
| 74539 | Other | FL | BCBS GROUP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Florida) | Primary |
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